Peru State College
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Dr. Snyder Retirement Banquet RSVP
 
Attending: Yes, I will attend Sorry, I cannot attend
First Name:
Last Name:
Others Attending:
(please note: the cost for this event is $35.00 per person)









Address:
City:
State, Zip: ,
Phone Number: e.g.555-555-5555
Email Address:
Payment Options

Please check the box to the left if you intend to pay by check.

Payment must be received by June 10, 2011.

Please check the box to the left if you intend to pay by credit card.

Accepted Cards: VISA, MasterCard and Discover

 

Special Instructions: Credit Card Payments will be made via the Foundation's 'Online Gift Form'

- When making a payment, please indicate in the "If other, please specify" box 'Dr. Snyder Retirement'. (See image below)

 

Example Only
If other, Please specify Form Field
Confirmation
 

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